Ronald J Robichaux, RPH
Individual provider Active NPI Pharmacist · Lockport, LA
NPI 1104834738 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104834738
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 14293 (LA)
- Practice address
- 616 Crescent Ave
Lockport, LA 70374-2735 - Phone
- (985) 562-9140
- Fax
- (985) 532-9205
- NPI assigned
- Aug 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14293 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergy Healthcare, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14293 | LA | Yes |
Addresses
Primary practice location
616 Crescent Ave
Lockport, LA 70374-2735
Mailing address
616 Crescent Ave
Lockport, LA 70374-2735
Phone (985) 562-9140
Other providers in Lockport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.